Evidence map›Paper›PMID 35917514›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Cediranib in Combination with Olaparib in Patients without a Germline BRCA1/2 Mutation and with Recurrent Platinum-Resistant Ovarian Cancer: Phase IIb CONCERTO Trial.

Jung-Min Lee, Richard G Moore, Sharad Ghamande, Min S Park, John P Diaz, Julia Chapman, James Kendrick, Brian M Slomovitz, Krishnansu S Tewari, Elizabeth S Lowe and 5 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 2 countries.

Jung-Min LeeCenter for Cancer Research, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0003-1280-5909
Richard G MooreWilmot Cancer Institute, Department of Obstetrics and Gynecology, University of Rochester, Rochester, New York.ORCID 0000-0001-5598-5263
Sharad GhamandeCancer Center, Medical College of Georgia, Augusta University, Augusta, Georgia.ORCID 0000-0003-2242-2215
Min S ParkSwedish Cancer Institute, Swedish Medical Center, Seattle, Washington.ORCID 0000-0002-2012-6482
John P DiazMiami Cancer Institute, Baptist Health South Florida, Miami, Florida.ORCID 0000-0002-4364-5824
Julia ChapmanObstetrics and Gynecology, University of Kansas Medical Center, Kansas City, Kansas.ORCID 0000-0003-3203-6035
James KendrickAdvent Health Orlando, Orlando, Florida.ORCID 0000-0003-3925-1715
Brian M SlomovitzBroward Health, Fort Lauderdale, Florida, and Department of Obstetrics and Gynecology, Florida International University, Miami, Florida.ORCID 0000-0002-7241-3096
Krishnansu S TewariOvarian Cancer Center, UCI Health, Irvine, California.ORCID 0000-0002-8417-7000
Elizabeth S LoweAstraZeneca, Gaithersburg, Maryland.ORCID 0000-0003-3573-7208
Tsveta MilenkovaAstraZeneca, Cambridge, United Kingdom.ORCID 0000-0002-0923-0131
Sanjeev KumarAstraZeneca, Cambridge, United Kingdom.ORCID 0000-0003-0692-3925
Mike DymondAstraZeneca, Cambridge, United Kingdom.ORCID 0000-0001-5981-391X
Jessica BrownAstraZeneca, Cambridge, United Kingdom.ORCID 0000-0002-9278-0598
Joyce F LiuDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-3888-3972
AstraZeneca (United Kingdom) · GBAugusta University · USBaptist Hospital of Miami · USDana-Farber Cancer Institute · USFlorida International University · USNational Cancer Institute · USOrlando Health · USSwedish Medical Center · USUC Irvine Health · USUniversity of Kansas Medical Center · USUniversity of Rochester · US

Funding

Targeting DNA damage repair and related pathways in HRD-womens cancersZIABC011525 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LEE, JUNG-MIN · 2013 to 2025
$14.8M
6 · The paper itself

Abstract

purposeThe efficacy, safety, and tolerability of cediranib plus olaparib (cedi/ola) were investigated in patients with nongermline-BRCA-mutated (non-gBRCAm) platinum-resistant recurrent ovarian cancer. PATIENTS AND

methodsPARP inhibitor-naïve women aged ≥18 years with platinum-resistant non-gBRCAm ovarian cancer, ECOG performance status of 0-2, and ≥3 prior lines of therapy received cediranib 30 mg once daily plus olaparib 200 mg twice daily in this single-arm, multicenter, phase IIb trial. The primary endpoint was objective response rate (ORR) by independent central review (ICR) using RECIST 1.1. Progression-free survival (PFS), overall survival (OS), and safety and tolerability were also examined.

resultsSixty patients received cedi/ola, all of whom had confirmed non-gBRCAm status. Patients had received a median of four lines of chemotherapy; most (88.3%) had received prior bevacizumab. ORR by ICR was 15.3%, median PFS was 5.1 months, and median OS was 13.2 months. Forty-four (73.3%) patients reported a grade ≥3 adverse event (AE), with one patient experiencing a grade 5 AE (sepsis), considered unrelated to the study treatment. Dose interruptions, reductions, and discontinuations due to AEs occurred in 55.0%, 18.3%, and 18.3% of patients, respectively. Patients with high global loss of heterozygosity (gLOH) had ORR of 26.7% [4/15; 95% confidence interval (CI), 7.8-55.1], while ORR was 12.5% (4/32; 95% CI, 3.5-29.0) in the low gLOH group.

conclusionsClinical activity was shown for the cedi/ola combination in heavily pretreated, non-gBRCAm, platinum-resistant patients with ovarian cancer despite failing to meet the target ORR of 20%, highlighting a need for further biomarker studies.

Indexed as

Ovarian NeoplasmsPoly(ADP-ribose) Polymerase InhibitorsAdolescentAdultBevacizumabBRCA1 ProteinCarcinoma, Ovarian EpithelialFemaleGerm CellsGerm-Line MutationHumansIndolesMutationNeoplasm Recurrence, LocalPhthalazinesPiperazinesBevacizumabBRCA1 ProteinBRCA1 protein, humancediranibIndolesolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsQuinazolines

Identifiers

PMID35917514
PMCPMC9527502
OpenAlexW4289525182

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.